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General NPI Number Information
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NPI Number | 1114739786
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Entity Type | Individual
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Provider Name | RYAN DAVIS FLOWERS LCSW
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Gender | Male
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Dates
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Enumeration Date | 01/22/2025
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 505 W UNION ST
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City | MUNFORDVILLE
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State | KY
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Zip | 42765-8909
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Country | US
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Telephone | 844-435-0900
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Fax | 270-858-4029
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Provider Business Mailing Address
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Address Line | PO BOX 1080
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City | BURKSVILLE
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State | KY
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Zip | 42717-7915
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Country | US
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Telephone | 270-858-6655
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Fax | 270-858-4027
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 260005
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License Number State | KY
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